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Claims Investigator Customer Experience

Location:
Valrico, FL
Posted:
August 20, 2023

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Resume:

Ellie Miller

Lithia FL *****

813-***-****

ady2wo@r.postjobfree.com

Professional Skills

Analytical and Problem Solving Enthusiastic team player Detail Oriented

Microsoft Office Suite proficient Prioritizing and Multi-tasking Time Management

Committed to deliver high quality results Dedicated and focused Efficiency Improvements

Updating of Documentation Professional and mature Reconciliation of accounts

McCall Field Services Inc.

Billing Processor – 10/2019 to 06/2020

Review photos to determine if jobs were completed by the contractors correctly.

Receive payments from clients and submit to contractors through QuickBooks

Talk to contractors and clients about pay and completion of jobs

JPMorgan Chase, Tampa, FL 09/2006 to 03/2019

Claims Investigator - 09/2012 to 03/2019

Investigation and resolution of customer claims. Identified potential Fraud cases and compromised cards.

Ensured SLA’s were met for customer complaints and escalations.

Updated departmental standard operating procedures and database to reflect current practices.

Maintained detailed administrative and procedural processes to improve accuracies and efficiencies.

Analyzed all documentation submitted by the cardholder and made independent judgment calls by applying the Visa, MasterCard rules along with Federal Regulation E standards.

Provided training to co-workers to ensure consistency within department.

Transaction Processing Specialist – 04/2009 to 09/2012

Prepared reconciliation for assigned accounts in accordance with departmental standards and procedures.

Pulled daily reports to review all account activity which ensured balances and exceptions were identified.

Administered appropriate steps for resolution of all identified exceptions. Research and analysis of data.

On a daily basis, prepared and processed accurate SAP General Ledger entries for settlement.

Researched rejected items for assigned accounts and processed clearing items where appropriate.

Claims Investigator – 09/2006 to 04/2009

Investigation of claims for validity, reviewed forms and monitored reports for fraudulent claims.

Processed provisional credits during investigations then reversed the credits when appropriate.

Responsible for daily settlement and reconciliation of cardholder accounts.

Administrative duties with creating and maintaining spreadsheets to streamline daily tasks, generating appropriate letters/notifications, returning calls to cardholder’s and pulling reports/documentation.

Accomplishments

Multiple awards for performance.

o06/2018 – Received Five Keys Award “Exceeds expectations” with customer experience

oPrevious to 2018 – Received numerous awards for exceeding monthly quality expectations

Software

MS Office – Access, Excel, Outlook, PowerPoint, Word and QuickBooks



Contact this candidate